| NPI | 1619043221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029818) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 318171) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-11-19 |